Dr. Buchanan was born in Atlanta and attended Emory University undergraduate. He stated medical school at medical College of Georgia. He then completed an internship at Parkland Hospital in Dallas Texas. The next 2 years were spent in the Navy in, first, did not caring for the Marines and, then, Jacksonville Naval Hospital. He then completed a Gen. surgery rest see at the university North Carolina and a plastic surgery residency, including hand surgery, at Washington University in St. Louis. He then distinguished himself on the fact of the University of Oklahoma section of plastic surgery, rising to full professor. There he oversaw the plastic surgery clinics at the adult and Vereran's Administration Hospitals while running a full private practice. His main interests were hand surgery, reconstructive surgery including microsurgery, and cosmetic surgery. After 14 years, he went into a pure private practice but continued his association with University of Oklahoma as a clinical professor overseeing resonance who rotated with him. The opportunity arose, he moved to Highlands North Carolina where he has advanced his cosmetic interests, especially facial rejuvenation.

Dr. Robert Buchanan

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Surgery - Plastics

Highlands, NC

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Dr. Buchanan was born in Atlanta and attended Emory University undergraduate. He stated medical school at medical College of Georgia. He then completed an internship at Parkland Hospital in Dallas Texas. The next 2 years were spent in the Navy in, first, did not caring for the Marines and, then, Jacksonville Naval Hospital. He then completed a Gen. surgery rest see at the university North Carolina and a plastic surgery residency, including hand surgery, at Washington University in St. Louis. He then distinguished himself on the fact of the University of Oklahoma section of plastic surgery, rising to full professor. There he oversaw the plastic surgery clinics at the adult and Vereran's Administration Hospitals while running a full private practice. His main interests were hand surgery, reconstructive surgery including microsurgery, and cosmetic surgery. After 14 years, he went into a pure private practice but continued his association with University of Oklahoma as a clinical professor overseeing resonance who rotated with him. The opportunity arose, he moved to Highlands North Carolina where he has advanced his cosmetic interests, especially facial rejuvenation.

The thumb basal joint near the wrist degenerates from loss of ligamentous support from normal pinching over time.

The initial recovery is rather rapid, a week or so. However, because the ligaments are reconstructed and must be protected for about 3 months, you have restrictions and splints for that length of time. When the symptoms are severe enough, this is an exceptionally rewarding procedure.
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The hypercoagulative state after major surgery, especially one like a Tummy Tuck can last up to a month and, perhaps longer. If I calculate that a patient has an increased risk for clotting and treat them with anticlotting drugs, I continue those drugs for a month.

If not, I advise no prolonged immobility or sitting, no smoking and nothing else that might slow blood return from the legs, etc.

It needs to be cleaned regularly and an antibiotic applied until healed. An antibiotic from the drug store like Neosporin or Bacitracin needs to be applied 4 times a day. You can get one (Silvadene, if you are not allergic to Sulfa) that needs to be applied only twice a day. If the area is large, it could require a skin graft. See an MD.
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The UVA causes the pigment cell to distribute pigment abnormally. These only get worse with time and more sun exposure, not better. An IPL or a skin care system like Obagi Nu-Derm can eliminate these, however. To discuss these, see a plastic surgeon or dermatologist specializing in skin rejuvenation. Daily zinc oxide sunblock prevents more.
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Once you have treated the spots, you need to protect from further sun damage. Titanium dioxide is an excellent sunblock to protect from both UVB and UVA. It is more practical than most other sunblocks as you only have to replace it if you rub or wash it off, not hourly. Zinc oxide is even better. Look for 8% zinc oxide, not SPF.
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Tretinoin (Retin-A) is a cream used to treat sun dsmaged skin. Renova, in my opinion, has no use as it is tretinoin mixed with mineral oil to prevent its penetrating the skin, thus markedly reducing its effectiveness. At your age, tretinoin is what you need. See a plastic surgeon or dermatologist experienced in skin rejuvenation.
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